Application for Employment Survey

1.Contact Info:

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

2.What position are you applying for? Midwest Gutter Cleaning, Junk Free Pros, Clean Dryer Vent Pros or all of the above?(Required.)

3.Briefly share your prior work experience (including any experience working with ladders):(Required.)

4.Are you interested in part-time or full-time work? Seasonal ? Career path? Please explain:(Required.)

5.What hourly wage are you expecting?(Required.)

6.Please provide at least three references (Full name & email address):(Required.)

Name:

7.Do you have reliable transportation?(Required.)

8.This position involves physical work such as climbing ladders, lifting equipment, working at heights, and performing outdoor labor.

Are you able to safely perform the essential duties of this role, with or without reasonable accommodation?(Required.)

9.We are looking for team members who are committed to sticking to our values in all circumstances. Is this something you are willing to do?

Values -

1. Integrity – Always do the right thing, even when no one is watching.

2. Professionalism – Show up on time, in uniform, and with a respectful attitude

3. Quality Workmanship – Deliver services that meet the highest standards of safety and care.

4. Customer Care – Treat every home as if it were your own, and every client like a neighbor.

5. Safety First – Protect both your team and your clients’ property at all times.

6. Teamwork – Support one another, communicate clearly, and work together to succeed.

7. Continuous Improvement – Always look for ways to improve skills, systems, and service delivery.(Required.)